generally Faintings and the Hip, and Horrors without any Ground for them;
which leads me to say something upon an Error, relative to that Sea
Disorder, the Scurvy.
* * * * *
XIII.
_That Bleeding is proper for a Patient, who is apt to be sick in a
Morning._
The first Person I heard remark this Error, was an old Physician, who,
though he had but little Practice, on Account of his travelling
Disposition, was nevertheless a Man of great Speculation. He had been three
Times over the Alps on Foot; and was in many Respects, a curious Man.
The Company did not seem to take much Notice of his Remark, because he
certainly was an Oddity; however, if we may believe the Accounts of those
Physicians who have lately wrote upon the Scurvy, the Old Gentleman was in
the right.
It seems, that among all the dreadful Symtoms, which accompany the Scurvy,
a fainting Sickness in a Morning, is the most certain Indication of it.
Many, upon Application for Relief, in that Case, have been treated as
Consumptive; when, upon a more strict Enquiry, they have been found to have
a violent Scurvy, and have been restored to Health by Mineral Waters. If
that is the Case, and fainting Sickness in a Morning, is a Sympton of the
Scurvy, Bleeding cannot be proper, as nothing is more likely to encrease
the Fainting, than Phlebotomy.
I met with an Author somewhere, who reasoned upon the Subject, in this
Manner. He alledged, that the Cause of Fainting in the Scurvy, was owing to
such a Relaxation in the Blood Vessels, that they had not Power to perform
their Operations; and by that Means, were unable to give their Contents,
that quick, spirited Motion, which is required, to keep them in the upper
Parts of the Body; and that, by the Blood being suffered to fall down to
the lower Parts of the Body, the Head, Heart, and other Vital Parts, were
left destitute of that Fluid, which is so necessary for the Preservation of
Life. This he proves, by the sudden Change which is caused in Patients,
afflicted with the Scurvy, on altering their Position. If, says he, you
cause a Patient to be raised up in his Hammock, though before he was in
very good Spirits (a Thing peculiar to the Sea Scurvy, even in the last
Stages of it, at Times) he will faint immediately; if you lay him in an
inclined Posture, he will recover again. And he gives this Reason for it,
viz. that the Blood settles downwards, in the same Manner, as Humours do in
a Dropsy, when the Patient is erect; and that it returns again, when he is
supine; and by that Means, it re-invigorates those Parts, which were
distressed by its Absence. If this is the Case, and the learned Doctor's
Position is true, to take away that little Blood, which is left behind, in
the upper Parts of the Body, on a Scorbutic Patient's getting into an erect
Posture, or rising in a Morning, is to deprive him of all the Nourishment
which his Vital Parts contain for their Preservation, and seems to be a
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